Coffee Road Surgery Center, LLC
NPI 1134947328 · Ambulatory Surgical Clinic/Center · Modesto, CA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coffee Road Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Modesto, CA (NPI 1134947328).
Provider details
- NPI number
- 1134947328
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eric Boon, Officer/Ao(480) 567-0269
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-09-27
- Last updated
- 2026-05-08
- Certified
- 2026-05-08
Frequently asked questions
- What is Coffee Road Surgery Center, LLC's NPI number?
- Coffee Road Surgery Center, LLC's National Provider Identifier (NPI) is 1134947328, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coffee Road Surgery Center, LLC?
- Coffee Road Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Coffee Road Surgery Center, LLC located?
- Coffee Road Surgery Center, LLC's practice location on file with NPPES is 1335 Coffee Rd Ste 201, Modesto, CA 95355-3192.
- What is Coffee Road Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Coffee Road Surgery Center, LLC is (209) 492-0483.
- Does Coffee Road Surgery Center, LLC accept Medicare?
- Coffee Road Surgery Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Coffee Road Surgery Center, LLC?
- The authorized official listed on Coffee Road Surgery Center, LLC's NPPES record is Eric Boon, Officer/Ao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coffee Road Surgery Center, LLC's NPI active?
- Yes — Coffee Road Surgery Center, LLC's NPI (1134947328) is active in the NPPES registry as of the last update on 2026-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.